Pinnacle Woundcare, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PINNACLE WOUNDCARE, LLC

Practice address

1431 Opus Place
Suit # 110
Downers Grove, IL 60515

Phone

(224) 315-8593

NPI assigned

Oct 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zivojin Pavlovic, MDNPI 1669454658

Title

Administrator

Phone

(224) 315-8486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zivojin Pavlovic, MD

  • Diagnostic Radiology Physician
  • Lincolnwood, IL
  • NPI 1669454658
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1043091093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 W TOUHY AVE STE 372",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OPUS PLACE",
            "address_2": "SUIT # 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "224-315-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WOUNDCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "PAVLOVIC",
        "authorized_official_first_name": "ZIVOJIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-315-8486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Maria Pierwola, M.S. CF-SLP
• Sandra Lynn Pietrzak, RDH
• Kyle Pigney
• Jessica Pilar
• Minnu M Pillai, NP
• Stephanie Piotrowski, APRN, FNP-BC
• Susanna Cristina Pischek, D.M.D.
• Jamie Lee Plackett, DPT
• Plastic Surgery Services and Equipment LLC
• Kristin Deanne Platt

• Internal Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.